• Profile
Close

Safety and efficacy of EUS-guided coil and glue injection for the primary prophylaxis of gastric variceal hemorrhage

Gastrointestinal Endoscopy Feb 04, 2021

Kouanda A, Binmoeller K, Hamerski C, et al. - In this single center observational study, researchers tested the safety and effectiveness of endoscopic ultrasound (EUS)-guided coil and and cyanoacrylate (CYA) injection (EUS-CCI) for the primary prophylaxis of gastric variceal bleeding (GVB). The sample consisted of adult patients with high-risk GV (size > 10 mm or cherry-red spot) without prior bleeding who had EUS-CCI (endoscopic ultrasound-guided coil and cyanoacrylate injection) for the primary prophylaxis of GVB between June 2009 and December 2019. Participants in the study were 80 patients with a mean variceal size of 22.5 ± 9.4 mm and a mean length of follow-up 3.0 ± 2.4 years. EUS-CCI for primary prophylaxis is highly effective at preventing GVB with a low incidence of adverse effects in patients with high-risk GV. In centers with the requisite experience, primary prophylaxis of high-risk GV with coil and CYA glue injection should be considered. In 100% of patients, technical success was achieved, and 96.7% had EUS confirmation of GV obliteration; 67.7% were obliterated with one treatment session. In 2 (2.5%) patients post-treatment GVB was seen, while adverse events were seen in 4 (4.9%) patients. 

Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay